the mac federal medicaid spending as a percentage of the economy to the budget that will increase 25%, driven by the affordable care expansion is more than $4 trillion over the next decade and that's not the children for dollars state full text not medicaid. according to the national governors association, medicaid rep since the single largest portion of total state spending. this budget backs up the proposals for lower spending on medicaid such as the blended rate and provider tax reductions. this is especially discouraging since there are bipartisan proposals that would achieve significant medicaid savings and improve patient care. in fact, her predecessor under president clinton, donna shalala said medicaid per capita cat being dare i know i sent his first dates people who need medicaid are able to receive it. your fiscal year 2014 budget only purpose is to save one half of one man? reforms to the medicaid for program. one of the countries fundamentally most serious charges. >> senator hatch, there is a very positive tori to tell about medicaid and is a former governor, i am dealin